| Doctor Name: | ELIZABETH HARDY |
| NPI Number: | 1144516089 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | C007240 |
| Business Practice Address: | 3640 Express Dr Shallotte, NC - 284706501 |
| Business Phone Number: | 9107555222 |
| Business Fax Number: | 9107555255 |
| Mailing Address: | 4910 Bridger Rd, Apt 18 SHALLOTTE |
| State: | NC |
| Postal Code: | 284704520 |
| Phone Number: | 9143092626 |
| Fax Number: | |
| NPI Enumeration Date: | 06/20/2011 |
| NPI Last Update Date: | 06/20/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | C007240 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |